Organization
PATRICK CLEMONS, D.O., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICK EDWIN CLEMONS D.O. (OWNER/PRESIDENT)
(512) 732-7347
Entity
Organization
Contact information
Practice address
4407 BEE CAVES RD, SUITE 113, WEST LAKE HILLS, TX 78746-6405
(512) 732-7347
Mailing address
4407 BEE CAVES RD, SUITE 113, WEST LAKE HILLS, TX 78746-6405
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
J1933
TX
Other
Enumeration date
08/18/2010
Last updated
08/18/2010
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